Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $8,870.00 / $19,368.00	Facility		$2,616.00	$8,870.00	$19,368.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $9,644.00 / $18,544.00	Facility		$3,028.00	$9,644.00	$18,544.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $12,565.69	Facility		$66.00	$100.00	$12,565.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,203.00 / $8,774.56 / $15,715.63	Facility		$3,203.00	$8,774.56	$15,715.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $607.59 / $955.36 / $1,289.74	Professional		$607.59	$955.36	$1,289.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $767.45 / $1,053.73 / $1,896.20	Professional		$767.45	$1,053.73	$1,896.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,980.00 / $25,342.70 / $26,542.00	Facility		$2,980.00	$25,342.70	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $183.12 / $2,402.13 / $2,402.13	Facility	AS	$183.12	$2,402.13	$2,402.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $849.40 / $1,044.78 / $1,448.30	Facility		$849.40	$1,044.78	$1,448.30
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $90.00 / $90.00 / $258.70	Facility	AS	$90.00	$90.00	$258.70
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,651.00 / $29,312.00	Facility		$7,696.00	$13,651.00	$29,312.00